Skip Navigation

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (23)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Hayashida, M.
Right arrow Articles by Murakami, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hayashida, M.
Right arrow Articles by Murakami, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 2003, Vol. 90, No. 5 694-698
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Detection of cerebral hypoperfusion with bispectral index during paediatric cardiac surgery

M. Hayashida1, M. Chinzei1, K. Komatsu1, H. Yamamoto1, H. Tamai1, R. Orii1, K. Hanaoka1 and A. Murakami2

Departments of 1 Anaesthesiology and 2 Cardiovascular Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Corresponding author. E-mail: hayashida-todai@umin.ac.jp

Background. The bispectral index (BIS) may indicate changes in cerebral activity when the cerebral circulation is affected by acute hypotension.

Methods. We measured BIS and cerebral haemoglobin saturation (SrO2) by near-infrared spectroscopy in 10 children undergoing cardiac surgery.

Results. We noted 14 episodes of simultaneous decreases in SrO2 and BIS during acute hypotension in five children. An acute decrease in BIS, which coincided with a decrease in SrO2 suggesting a reduction in cerebral blood flow, was associated with acute slowing of the raw EEG waveforms.

Conclusions. Our findings suggest that an acute decrease in BIS during acute hypotension indicates cerebral hypoperfusion, and that cerebral hypoperfusion caused by hypotension may occur frequently during paediatric cardiac surgery.

Br J Anaesth 2003; 90: 694–8


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
C. S. Leggat and G. W. Fischer
Early Detection of an Acute Cerebral Event During Cardiopulmonary Bypass Using a Bispectral Index Monitor
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2008; 12(1): 80 - 82.
[Abstract] [PDF]

Home page
 Br J AnaesthHome page
N. Ohshima, M. Chinzei, K. Mizuno, M. Hayashida, T. Kitamura, H. Shibuya, and K. Hanaoka
Transient decreases in Bispectral Index without associated changes in the level of consciousness during photic stimulation in an epileptic patient
Br. J. Anaesth., January 1, 2007; 98(1): 100 - 104.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
A. Deogaonkar, R. Vivar, R. E. Bullock, K. Price, I. Chambers, and A. D. Mendelow
Bispectral index monitoring may not reliably indicate cerebral ischaemia during awake carotid endarterectomy
Br. J. Anaesth., June 1, 2005; 94(6): 800 - 804.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
T. M. Hemmerling, J.-F. Olivier, F. Basile, N. Le, and I. Prieto
Bispectral Index as an Indicator of Cerebral Hypoperfusion During Off-Pump Coronary Artery Bypass Grafting
Anesth. Analg., February 1, 2005; 100(2): 354 - 356.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
Y. Morimoto, Y. Monden, K. Ohtake, T. Sakabe, and S. Hagihira
The Detection of Cerebral Hypoperfusion with Bispectral Index Monitoring During General Anesthesia
Anesth. Analg., January 1, 2005; 100(1): 158 - 161.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. Chinzei, S. Sawamura, M. Hayashida, T. Kitamura, H. Tamai, and K. Hanaoka
Change in Bispectral Index During Epileptiform Electrical Activity Under Sevoflurane Anesthesia in a Patient with Epilepsy
Anesth. Analg., June 1, 2004; 98(6): 1734 - 1736.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
M. Hayashida, N. Kin, T. Tomioka, R. Orii, H. Sekiyama, H. Usui, M. Chinzei, and K. Hanaoka
Cerebral ischaemia during cardiac surgery in children detected by combined monitoring of BIS and near-infrared spectroscopy
Br. J. Anaesth., May 1, 2004; 92(5): 662 - 669.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
D. Bainbridge, J. Murkin, C. Calaritis, and A. Menkis
Aortic Dissection in a Patient with a Previous Ascending Aortic Dissection and Repair: The Role of New Monitoring Devices in the High-Risk Patient
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2004; 8(1): 3 - 7.
[PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.